HomeMy WebLinkAbout809 Saddlebrook Ln - Applications/Furnace - 02/20/2018Feb 11 2000 0&48AM HP Fax
page 2
This application is to
❑ Demolition (interior r
IR Heating Unit ❑ Lau
❑ Ventilation
manufacturer)
Complete all,
❑ water
Application *
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
THECOUNTER PERMITS ONLY
10 apply for the following permits only (check all that apply). IR Air Conditioning
tirral) ❑ Electrical Afteration (not service change) ❑ Gas Lighter ❑ Gas Log
4r ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
0 Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, mode) and
i
>pncabr iilforrmp, tlon on the application. Incomplete applications will not be accepted.
II
Fav onCoOl osq-�mDate 2I �"b
H�Irlo l n r1 —A If' i
Job Site Address (fwv
Valuie of Construction (labor, materials, profit)
809 Saddlebrook L
n
$17,971.00 CU5. 5U
Property Owner Name
Address City/state Zip Phone
Michael Sean
I
09 Saddlebrook Lane Fort Collins CO 80525 970-225-6444
Applicant Name
Address aty/State Zip Phone
One Hour Heating 8 Air
I 487 Denver Avenue Loveland, CO 80537 970-292-5769
Contractor
!I
Address City/State ZIP Phone
One Hour Heating & Air
487 Denver Avenue Loveland, CO 80537 970-292-5769
Contractor City of Ft. Col
Sales Tax # Are you paying taxes here or by report? ® Here ❑ Report
Saks raxnamber/s regw edb),
a#
conbasfts Are you paying uwth your trust account? ® Yes ❑ No
Is this a residential or
If residential, is it
13
13
If commercial, is it:
Is this building 5o years 4
If this is for a demolition
Ifpn'or to 1975, you sw7An
Description of work
*If lawn sprinkler/back low
Subcontractors: [tat the r
Uectridan
I hereby acknowledge that I
comply with all requirements
Permit Is not valid until h
Appikant: Print Name: Stacey
dal project? IM Residential ❑ Commercial
Family Detached ❑ Condo/townhome (single family attached) ❑ Duplex
imily department) ❑ Garage
❑ 6ar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
want; ❑ Other (explain)
;e or;moe7 ❑ Yes O No If yes, jew may need to contact H4stcvrcp1e_wvaWn
colt, What year was the building constructed?
an asthes 05 assessment to submit with t6& application.
must list licensed plumber. If first-time A/C, must list licensed electrician.
orC/lyofRCoftsAcense A'
arechankal H-824 Roofer
Other
this application and state that the above information Is complete and correct I agree to
herein and city ordinances and state laws regulating building mnstnution. I know that a
paid and Issued.
Signature sa" Sep wa* Date 02/12/2018